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1831199025
LISA K. LILLEY
DALLAS, TX
NPI
1831199025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: TX 572621)
Enumeration Date
2005-07-28
Last Update Date
2007-07-09
Business Address
-- LISA K. LILLEY WHCNP
5201 HARRY HINES BLVD MEDICAL STAFF SERVICES
DALLAS, TX 75235-7708
Phone number: 214-590-8006
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Mailing Address
-- LISA K. LILLEY WHCNP
PO BOX 660599
DALLAS, TX 75266-0599
Phone number: 214-590-4105
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